Evaluation of Parity in the Federal Employees Health Benefits (FEHB) Program: Final Report. Appendix D. List of Medications for Identifying MH/SA Use and Spending

12/31/2004

Drug generic name Drug brand name Restricted and expanded MH/SA medications Restricted and expanded Major Depressive Disorder medications
1 = Restricted 0 = Expanded* 1 = Restricted 0 = Expanded**
Donepezel Aricept 1 0
Galantamine Reminyl 1 0
Tacrine Cognex 1 0
Rivastigmine Exelon 1 0
Amitriptyline Elavil, Endep, Amitid 1 1
Clomipramine Anafranil 1 1
Desipramine Norpramin, Pertofrane 1 1
Doxepin Sinequan, Zonalon 1 1
Imipramine Tipramine, Tofranil, Tofranil-PM, 1 1
  Norfranil    
Nortriptyline Aventyl, Pamelor 1 1
Protriptyline Vivactil 1 1
Trimipramine Surmontil 1 1
Amoxapine Asendin 1 1
Maprotiline Ludiomil 1 1
Isocarboxazid Marplan 1 1
Meclobemide Aurorix 1 1
Phenelzine Nardil 1 1
Tranylcypromine Parnate 1 1
Citalopram Celexa 1 1
Escitalopram Lexapro 1 1
Fluoxetine Prozac, Sarafem, Prozac Weekly 1 1
Fluvoxamine Luvox 1 1
Paroxetine Paxil 1 1
Sertraline Zoloft 1 1
Bupropion Wellbutrin, Wellbutrin SR 1 1
Mirtazapine Remeron, Remeron SolTab 1 1
Nefazodone Serzone 1 1
Reboxetine Vestra, Edronax 1 1
Venlafaxine Effexor, Effexor XR 1 1
Trazodone Desyrel, Trazolan, Trialodine, 1 1
  Dotazone    
Chlordiazepoxide/amitriptyline Limbitrol, Limbitrol-DS 1 1
Perphenazine/amitriptyline Etrafon, Etrafon-A, Etrafon-Forte, 1 1
  Triavil    
Carbamazepine Atretol, Epitol, Tegretol, Tregetol- 0 0
Drug generic name Drug brand name Restricted and expanded MH/SA medications Restricted and expanded Major Depressive Disorder medications
1 = Restricted 0 = Expanded* 1 = Restricted 0 = Expanded**
  XR, Carbatrol    
Divalproex Depakote, Depakote sprinkles, 0 0
  Depakon    
Felbamate Felbatol 0 0
Gabapentin Neurontin 0 0
Lamotrigine Lamictal, Lamictal CD 0 0
Lithium Eskalith, Lithane, Lithobid, 1 1
  Lithonate, Lithotab, Cibalith,    
  Cibalith-S, Duralith, Escalith-CR,    
  Lithotabs    
Chlormezanone Trancopal, Trancote 0 0
Topiramate Topamax 0 0
Valproic Acid, sodium Depakene, Depacon, 0 0
valproate, valproate sodium      
Acetophenazine Tindal    
Butaperazine Repoise,    
Carphenazine Proketazine    
Verapamil Calan, Covera, Isoptin, Verelan 0 0
Chlorpromazine Thorazine, Ormazine, 1 1
  Chlorpromazine, Hydrochloride    
  Intensol+B110    
Chlorprothixene Taractan 1 1
Droperidol Inapsine 0 0
Fluphenazine Modecate, Prolixin, Permitil 1 1
Fluphenazine decanoate Prolixin Decanoate 1 1
Haloperidol Haldol, Halperon 1 1
Haloperidol decanoate Haldol Decanoate 1 1
Loxapine Loxitane, Daxolin 1 1
Mesoridazine Serentil 1 1
Molindone Moban 1 1
Perphenazine Trilafon 1 1
Pimozide Orap 1 1
Piperacetazine Quide 1 1
Prochlorperazine Compazine 0 0
Promazine Prazine, Sparine 1 1
Thioridazine Mellaril, Mellaril-S, Mellaril 1 1
  Concentrate    
Thiothixene Navane 1 1
Trifluoperazine Stelazine 1 1
Triflupromazine Vesprin 1 1
Aripiprazole Abilitat, Abilify 1 1
Clozapine Clozaril 1 1
Iloperidone Zomaril 1 1
Olanzapine Zyprexa, Zyprexa Zydis 1 1
Quetiapine Seroquel 1 1
Risperidone Risperdal 1 1
Ziprasidone Geodon 1 1
Alprazolam Xanax 1 1
Chlordiazepoxide/Clidinium Clipoxide and Librax 1 1
Drug generic name Drug brand name Restricted and expanded MH/SA medications Restricted and expanded Major Depressive Disorder medications
1 = Restricted 0 = Expanded* 1 = Restricted 0 = Expanded**
Chlordiazepoxide Librium, Libritabs 1 1
Clonazepam Klonopin 0 1
Clorazepate Tranxene, Tranxene-SD, 1 1
  Tranxene-SD Half Strength,    
  Tranxene T-Tab    
Diazepam Valium, Diastat, Dizac, 1 1
  Diazepam Intensol, Valrelease    
Estazolam ProSom 0 1
Flurazepam Dalmane 0 1
Halazepam Paxipam 1 1
Lorazepam Ativan, Lorazepam Intensol 0 1
Oxazepam Serax 1 1
Prazepam Centrax 1 1
Quazepam Doral 0 1
Temazepam Restoril 0 1
Triazolam Halcion 0 1
Hydroxyzine Anxanil, Atarax, Vistaril, Durrax,    
  Hyzine-50    
Amobarbital, Amobarbital Amytal    
Sodium      
Amobarbital+Secobarbital Tuinal    
Aprobarbital Alurate    
Butabarbital Butisol, Busodium, Butalan,    
  Buticaps, Sarisol    
Glutethimide Doriden    
Mephobarbital Mebaral    
Meprobamate Equanil, Miltown, MB-Tab,    
  Meprospan    
Meprobamate+Aspirin Equagesic, Micrainin    
Pentobarbital, Sodium Nembutal    
Pentobarbital      
Phenobarbital Solfoton, Phenobarbital Elixir,    
  Luminal    
Secobarbital Seconal    
Tybamate Tybatran, Salacen    
Buspirone BuSpar 1 1
Chloral hydrate Noctec, Aquachloral Supprettes    
Doxylamine Unisom    
Ethchlorvynol Placidyl    
Ethinamate Valmid    
Methaqualone Mequin, Parest, Quaalude    
Methyprylon Noludar    
Promethazine Phenergan, Remsed    
Triclofos sodium Triclos    
Zaleplon Sonata    
Zolpidem Ambien    
Amphetamine+Detxroamphet Adderall, Adderall XR 1 if under 18 1
amine      
Amphetamine Benzadrine 1 if under 18 1
Atomoxetine Strattera 1 if under 18 1

 

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